Organization
JERICHO RMW,INC
Active
Other names
jericho drugs and surgical
Organization subpart
No
Provider details
NPI number
Authorized official
LORI WOLF (OWNER)
(516) 328-3784
Entity
Organization
Contact information
Practice address
916 JERICHO TPKE, NEW HYDE PARK, NY 11040-4604
(516) 328-3784
(516) 328-3780
Mailing address
916 JERICHO TPKE, NEW HYDE PARK, NY 11040-4604
(516) 328-3784
(516) 328-3780
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
029809
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3363215
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/17/2009
Last updated
11/23/2010
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